The most common identifiable causes of acute pericarditis in children are bacterial infections, viral pericarditis, inflammatory or connective tissue diseases, malignancies, metabolic diseases, and postpericardiotomy syndrome.
Two children with underlying malignancy including one with Hodgkin's disease in remission and one with acute lymphoblastic leukemia (ALL) had suspected viral pericarditis.
Electrocardiogram findings are variable and often normal, lacking the classic diffuse ST segment elevation and PR interval depression commonly seen in idiopathic or viral pericarditis
It is possible that our patient's prodrome of fever and cough was associated with a viral pericarditis
resulting in an inflammatory pericardial fluid collection prone to seeding with transient bacteremia from an oral or gastrointestinal source.
* Acute idiopathic or viral pericarditis
has a good prognosis with a low complication rate.
The exact incidence of viral pericarditis
is not known in pediatric population.
The provisional diagnosis was viral pericarditis
. This was revised on the basis of results of subsequent investigations (Table I) to pericarditis probably due to SLE.
She received non steroidal anti-inflammatory drugs (NSAID)for 2 months under the impression of acute viral pericarditis
. Her symptoms did not improve and the echocardiography revealed the persistence of pericardial effusion.
His medical history was unremarkable other than a documented episode of viral pericarditis
4 years prior that resolved with nonsteroidal anti-inflammatory medication.
The best treatment is to not ever give steroids in the first place for your typical viral pericarditis
," said Dr.
The patient was then started on a course of Ibuprofen and Prednisone for suspected viral pericarditis